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Patient-identified personal strengths (PIPS) versus deficit-focused models of care
Investigator (PI): Stange, Kurt C
Performing Organization (PO): (Current): Case Western Reserve University, Promoting Health Across Boundaries / (216) 368-0384
Supporting Agency (SA): Patient-Centered Outcomes Research Institute (PCORI)
Initial Year: 2013
Final Year: 2018
Record Source/Award ID: PCORI/732
Funding: Total Award Amount: $1,751,758
Award Type: Grant
Award Information: PCORI: More information and project results (when completed)
Abstract: Most current approaches to patient care are focused on patients' symptoms, limitations, and weaknesses. This approach can guide medical treatment, but it does not unleash the transformative power of people's positive personal strengths that can help patients to live a fulfilling life despite having multiple chronic illnesses. A growing body of research points to the potential of bringing patient-identified personal strengths (PIPS) into illness management to achieve better patient-centered outcomes. Our team has conducted groundbreaking work in developing and evaluating symptom-focused computer-supported Interactive Tailored Patient Assessment Tools (ITPAT) and in engaging patients and clinician stakeholders in participatory group model building to compare the effectiveness of different therapeutic approaches. In addition, we have developed a highly participatory practice-based research network (PBRN) of safety net practices serving disadvantaged patient populations. We propose that focusing care on patient strengths can result in enhanced health behaviors and better patient-centered outcomes by motivating positive change and engaging patients in ways that the usual deficit-based model of care cannot. Therefore, we aim to 1. identify patient-identified personal strengths relevant to chronic illness management; 2. develop a strength-focused computer-supported Interactive Tailored Patient Assessment Tool; 3. engage patients, caregivers, and primary care clinicians in identifying mechanisms by which leveraging PIPS in different ways might affect processes and patient-centered outcomes of care; and 4. use computer models to simulate the effect of alternate approaches to leveraging PIPS in practice on patient-oriented outcomes and provider resources compared to usual deficit/illness-focused care. These aims will be accomplished through a collaboration between patients with multiple chronic conditions, poverty, and racial and ethnic minorities; caregivers, clinicians, and researchers from different fields. Together, we will (1) engage patients and caregivers from the PBRN network in Appreciative Inquiry focus groups to identify PIPS; (2) work interactively with these focus groups to use the identified PIPS to develop a computer-supported ITPAT; (3) use the Patient Strengths ITPAT in qualitative system dynamics group model building sessions to identify mechanisms by which assessments of patient strengths in primary care encounters can affect the processes and outcomes of care; and (4) use the identified mechanisms to build simulation models that compare usual deficit/illness-focused care to care that is informed by patient-identified personal strengths. This research will generate a useful new tool, simulation models, and knowledge that can be used to make health care more effective in producing patient-centered outcomes.
MeSH Terms:
  • Chronic Disease /*therapy
  • Comparative Effectiveness Research
  • Disease Management
  • Focus Groups
  • Health Behavior
  • Humans
  • Outcome and Process Assessment, Health Care
  • Outcome Assessment, Health Care
  • Patient Participation
  • Patient-Centered Care
  • Perception
  • * Personality
  • Personality Tests
  • Primary Health Care /organization & administration
  • Program Development
  • Self Concept
  • Software
Country: United States
State: Ohio
Zip Code: 44106
UI: 20142263
Project Status: Completed
Record History: ('2017: Project extended to 2018.',)